| Samata Behavioral Health And Wellness Institute, Llc | |
|
128 S Main St Enterprise AL 36330-2543 | |
| (844) 472-6282 | |
| (855) 626-0476 |
| Full Name | Samata Behavioral Health And Wellness Institute, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 128 S Main St, Enterprise, Alabama |
| Authorized Official Name and Position | Stephanie Ann Kraczkowski (OWNER) |
| Authorized Official Contact | 3344709395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samata Behavioral Health And Wellness Institute, Llc 128 S Main St Enterprise AL 36330-2543 Ph: (844) 472-6282 | Samata Behavioral Health And Wellness Institute, Llc 128 S Main St Enterprise AL 36330-2543 Ph: (844) 472-6282 |
| NPI Number | 1437796067 |
|---|---|
| Provider Enumeration Date | 12/02/2019 |
| Last Update Date | 12/10/2019 |
| Certification Date | 12/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437796067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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